Heckman, Stanley Ernie
Heckman, Stanley Ernie is an individual health care provider with primary practice located at 829 Chief Eddie Hoffman Hwy Suite 150, Bethel AK 99559. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Heckman, Stanley Ernie can be contacted via phone (907) 543-6100.Contact Information
Primary practice address
829 Chief Eddie Hoffman Hwy Suite 150
Bethel AK 99559
Phone: (907) 543-6100
Fax: (907) 543-6159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1114190022 |
|---|---|
| LBN Legal business name | Heckman, Stanley Ernie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2008 |
| Last updated | Apr 2nd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114190022 | NPPES |
| Alaska | MEDICAID | 1020986 | |
| Alaska | MEDICAID | DA4442 |
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